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March 2018
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Periop nurses key in reducing readmissions after CABG surgery

Editor's Note Perioperative nurses engaging in patient and community education to explain coronary artery bypass grafting (CABG) surgery, reinforcing recommended discharge guidelines, and serving as expert resources are key to positive outcomes and reducing readmissions, finds this review article. In 2016, the Centers for Medicare & Medicaid Services reduced payments…

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By: Judy Mathias
November 6, 2017
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CMS finalizes outpatient PPS, ASC payment system, quality reporting changes for 2018

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on November 1 announced it will update the hospital outpatient prospective payment system rates by 1.35%. The final rule also removes total knee arthroplasty from the inpatient only list along with five other procedures and adds one procedure to the…

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By: Judy Mathias
November 2, 2017
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One in five physicians intend to reduce work hours or leave the profession

Editor's Note The burden and bureaucracy of today’s practice of medicine are major factors influencing physicians’ intentions to reduce work hours or leave the profession, finds this study from the American Medical Association, Mayo Clinic, and Stanford University. Of nearly 36,000 physicians across all specialties surveyed, 6,880 (19.2%) responded. Nearly 1…

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By: Judy Mathias
November 2, 2017
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Value of voluntary bundled-payment program unclear

Editor's Note For the third year in a row, researchers with the Lewin Group couldn’t determine whether Medicare’s voluntary Bundled Payment for Care Improvement initiative cuts costs and improves care, the October 31 Modern Healthcare reports. The Centers for Medicare & Medicaid Services (CMS) funded analysis found that although providers…

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By: Judy Mathias
November 1, 2017
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CMS issues guidance on MIPS information blocking component

Editor's Note The Centers for Medicare & Medicaid Services (CMS) has issued new guidance designed to offer clarity on the Merit-based Incentive Payment System’s (MIPS) data blocking component, the October 30 Healthcare Informatics reports. The guidance outlines how MIPS-eligible clinicians can show they are fulfilling the information blocking requirement, which…

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By: Judy Mathias
November 1, 2017
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Study: No advantages to robotic-assisted nephrectomy

Editor's Note Robotic-assisted nephrectomy is more expensive and takes longer than conventional laparoscopic nephrectomy and confers no additional benefits, this study finds. The proportion of robotic-assisted nephrectomies increased from 1.5% in 2003 to 27% in 2015. Of 23,753 patients analyzed, no significant differences were found in major postoperative complications between…

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By: Judy Mathias
October 31, 2017
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PSH model reduces deaths, ED visits in elderly hip fracture patients

Editor's Note Elderly hip fracture patients were less likely to die or return to the emergency department (ED) after discharge if they received care under the Perioperative Surgical Home (PSH) model of care, finds this study presented October 21 at the Anesthesiology 2017 annual meeting in Boston. PSH patients also…

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By: Judy Mathias
October 30, 2017
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Manufacturers optimistic about repeal of medical device tax

Editor's Note On October 24, 179 House members (including 43 Democrats) signed a letter to Speaker Paul Ryan (R-Wis) calling for repeal of the medical device tax, the October 25 issue of The Hill reports. The medical device tax, which was included in the Affordable Care Act to help pay…

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By: Judy Mathias
October 27, 2017
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AHA study: Regulatory overload is unsustainable

  Editor's Note A study from the American Hospital Association (AHA) finds that the regulatory burden faced by healthcare providers is substantial and unsustainable, the October 25 AHA News Now reports. Hospitals, health systems, and post-acute care providers spend nearly $39 billion annually on administrative activities to comply with federal…

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By: Judy Mathias
October 26, 2017
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Effect of hospital-wide measure of readmissions for HRRP

Editor's Note Changing to a hospital-wide measure of readmissions for the Hospital Readmissions Reduction Program (HRRP) would result in only 76 more hospitals being eligible to receive penalties, but it would substantially increase the penalties for safety-net hospitals, this study finds. For the analysis, researchers used Medicare claims from 2011…

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By: Judy Mathias
October 19, 2017
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